3003 W CASINO RD BLDG 45-303 2018-09-20

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3003 West Casino Road Everett, WA 98203 Building 45-303 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ®COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $27,000.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: 216184 - Provide power to S3 Parking Lot light CONTACT INFORMATION OWNER NAME: Boeing Company TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F 09 CITY Seattle STATE WA zi, 98124 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Foy Group CONTRACTOR ADDRESS: STREET 2400 NW 80TH ST Su qte 118 TY Seattle STATE WA zip 98117 CONTRACTOR PHONE: 206.437.6381 CONTRACTOR EMAIL: Shan non.f f0 rou p.net CONTRACTOR LIC.#(REQUIRED): FOYGRGC863LK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044569 PRIMARY CONTACT: ❑OWNER DQ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206.683.2038 Miriam Saunders CONTACT EMAIL: mirlam.S@foygroup.net AGREEMENT. Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE Digitally signed by Shannon Fuller PERMIT# DN G=US, E Shannon.F@foygroup.net, . O=Foy Group,OU-Project Manager, I r u y CN Shannon Fuller E (!� J eiecraCAL I soca I coxreois Date:;2016.02.2208:59,11-08'00' Owner/Authorized Agent Signature Date (Revised 1011212015)